[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"assessment-phq-15":3,"all-assessments-nav":290,"related-assessments-query":970},{"id":4,"title":5,"body":6,"category":221,"categoryTitle":222,"clinicalCitations":223,"copyright":233,"description":234,"disclaimer":235,"downloadLink":221,"extension":236,"faqs":237,"featured":250,"i18nReady":250,"icon":221,"interpreter":251,"lastReviewed":278,"meta":279,"navigation":280,"path":281,"permissionsNote":282,"published":280,"recommendedFrequency":283,"relatedCodes":221,"relatedConditions":221,"reviewedBy":221,"seo":284,"slug":285,"stem":286,"summary":287,"takeaways":221,"timeline":221,"type":288,"usedToDiagnose":221,"__hash__":289},"assessments\u002Fassessments\u002Fphq-15.md","PHQ-15 (Patient Health Questionnaire-15)",{"type":7,"value":8,"toc":207},"minimark",[9,14,18,21,25,33,70,73,77,80,85,111,116,133,137,142,150,154,168,172,189,193],[10,11,13],"h3",{"id":12},"foundational-context","Foundational Context",[15,16,17],"p",{},"Somatic symptoms, such as pain, fatigue, dizziness, and gastrointestinal discomfort, are among the most common reasons individuals seek medical care. Kroenke, Spitzer, and Williams (2002) formalized the PHQ-15 to provide a structured, reliable way to quantify these symptoms and examine their impact on functioning. The scale consolidates a wide range of physical complaints from the original PHQ, reflecting domains frequently encountered across medical and mental health settings.",[15,19,20],{},"The PHQ-15 is clinically valuable because somatic symptoms often coexist with anxiety disorders, depressive disorders, trauma-related conditions, and stress-related physiology. High scores may also indicate potential somatic symptom disorder or signal the need for multidisciplinary care. The scale supports efficient screening, fosters shared decision-making, and encourages a biopsychosocial approach to care.",[10,22,24],{"id":23},"what-the-assessment-measures","What the Assessment Measures",[15,26,27,28,32],{},"The PHQ-15 captures the ",[29,30,31],"strong",{},"frequency and severity of common somatic symptoms",", reflecting both patient distress and functional impact. Symptoms span multiple systems, including:",[34,35,36,43,49,54,59,64],"ul",{},[37,38,39,42],"li",{},[29,40,41],{},"Pain"," (back pain, headaches, limb pain)",[37,44,45,48],{},[29,46,47],{},"Gastrointestinal symptoms"," (nausea, constipation, bloating)",[37,50,51],{},[29,52,53],{},"Fatigue and low energy",[37,55,56],{},[29,57,58],{},"Shortness of breath",[37,60,61],{},[29,62,63],{},"Dizziness",[37,65,66,69],{},[29,67,68],{},"Sleep and menstrual-related concerns"," (if applicable)",[15,71,72],{},"By focusing on symptom burden rather than etiology, the PHQ-15 allows clinicians to identify patterns, track changes, and determine when further medical evaluation or integrated mental health support is appropriate.",[10,74,76],{"id":75},"interpretation-guidelines","Interpretation Guidelines",[15,78,79],{},"The PHQ-15 generates a total score (0–30) based on how much symptoms have bothered the respondent in the past four weeks.",[15,81,82],{},[29,83,84],{},"Validated severity thresholds:",[34,86,87,93,99,105],{},[37,88,89,92],{},[29,90,91],{},"0–4:"," Minimal somatic symptoms",[37,94,95,98],{},[29,96,97],{},"5–9:"," Low somatic symptom severity",[37,100,101,104],{},[29,102,103],{},"10–14:"," Moderate somatic symptom severity",[37,106,107,110],{},[29,108,109],{},"15+:"," High somatic symptom severity",[15,112,113],{},[29,114,115],{},"Interpretation Notes:",[34,117,118,121,124,127,130],{},[37,119,120],{},"Higher scores indicate greater overall symptom burden, not a specific diagnosis.",[37,122,123],{},"Moderate to high scores should prompt assessment of functional impairment, medical history, stressors, mood, anxiety, and trauma exposure.",[37,125,126],{},"Somatic symptoms may be influenced by chronic illness, pain conditions, psychological factors, or lifestyle.",[37,128,129],{},"Cultural differences can affect how physical symptoms are expressed or reported.",[37,131,132],{},"The PHQ-15 should be interpreted alongside clinical judgment, patient history, and appropriate medical evaluation.",[10,134,136],{"id":135},"psychometric-properties","Psychometric Properties",[138,139,141],"h4",{"id":140},"reliability","Reliability",[34,143,144,147],{},[37,145,146],{},"Good internal consistency across diverse medical and psychiatric populations",[37,148,149],{},"Stable measurement across repeated administrations during treatment",[138,151,153],{"id":152},"validity","Validity",[34,155,156,159,162,165],{},[37,157,158],{},"Strong correlations with functional impairment, depression, and anxiety",[37,160,161],{},"Demonstrated ability to identify individuals at risk for somatic symptom disorders",[37,163,164],{},"Predictive of healthcare utilization, including frequent primary care visits",[37,166,167],{},"Sensitivity to change, supporting its use for monitoring treatment response",[10,169,171],{"id":170},"administration-considerations","Administration Considerations",[34,173,174,177,180,183,186],{},[37,175,176],{},"Best administered when exploring physical symptoms, especially when multiple complaints are present",[37,178,179],{},"Useful for fostering discussion about mind–body connections, coping, and treatment planning",[37,181,182],{},"Should be paired with clinical evaluation to determine whether symptoms require medical workup",[37,184,185],{},"Helps differentiate between isolated physical symptoms and broader somatic patterns",[37,187,188],{},"May support integrated behavioural health interventions when scores are moderate to high",[10,190,192],{"id":191},"limitations","Limitations",[34,194,195,198,201,204],{},[37,196,197],{},"Not diagnostic for somatic symptom disorder or any specific medical condition",[37,199,200],{},"High scores can reflect medical illness, psychological distress, or both",[37,202,203],{},"Self-report may be influenced by health literacy, cultural norms, or response style",[37,205,206],{},"Does not assess symptom duration beyond the past four weeks",{"title":208,"searchDepth":209,"depth":209,"links":210},"",3,[211,212,213,214,219,220],{"id":12,"depth":209,"text":13},{"id":23,"depth":209,"text":24},{"id":75,"depth":209,"text":76},{"id":135,"depth":209,"text":136,"children":215},[216,218],{"id":140,"depth":217,"text":141},4,{"id":152,"depth":217,"text":153},{"id":170,"depth":209,"text":171},{"id":191,"depth":209,"text":192},null,"Depression & Mood",[224,227,230],{"text":225,"link":226},"Kroenke K, Spitzer RL, Williams JB. The PHQ-15: validity of a new measure for evaluating the severity of somatic symptoms. Psychosom Med. 2002;64(2):258-266.","https:\u002F\u002Fdoi.org\u002F10.1097\u002F00006842-200203000-00008",{"text":228,"link":229},"Kroenke K, Spitzer RL, Williams JB, Löwe B. The Patient Health Questionnaire Somatic, Anxiety, and Depressive Symptom Scales: a systematic review. Gen Hosp Psychiatry. 2010;32(4):345-359.","https:\u002F\u002Fpubmed.ncbi.nlm.nih.gov\u002F20633738\u002F",{"text":231,"link":232},"Toussaint A, Hüsing P, Kohlmann S, Löwe B. Detecting DSM-5 somatic symptom disorder: criterion validity of the Patient Health Questionnaire-15 (PHQ-15) and the Somatic Symptom Scale-8 (SSS-8) in combination with the Somatic Symptom Disorder - B Criteria Scale (SSD-12). Psychol Med. 2020;50(2):324-333.","https:\u002F\u002Fpubmed.ncbi.nlm.nih.gov\u002F30729902\u002F","© Pfizer Inc. Developed by Drs. Kroenke, Spitzer, and Williams as part of the PHQ suite.","The PHQ-15 measures somatic symptom severity for patients, aiding in diagnosis and treatment - included with HiBoop","This summary is intended for informational use only. HiBoop does not interpret individual scores or provide clinical recommendations. Clinical interpretation should be performed by qualified healthcare professionals.","md",[238,241,244,247],{"question":239,"answer":240},"How is the PHQ-15 scored?","Each of the 15 somatic symptom items is rated on a 3-point scale: 0 (not bothered at all), 1 (bothered a little), or 2 (bothered a lot). All item scores are summed for a total ranging from 0 to 30. Higher scores indicate greater somatic symptom burden.",{"question":242,"answer":243},"What do different PHQ-15 scores mean?","Scores of 0–4 indicate minimal somatic symptoms, 5–9 indicate low severity, 10–14 indicate moderate severity, and 15 or above indicate high severity. These cutpoints were established in the original validation study by Kroenke, Spitzer, and Williams (2002) and have been replicated in multiple populations.",{"question":245,"answer":246},"Is the PHQ-15 self-report or clinician-administered?","The PHQ-15 is a self-report measure designed to be completed by the patient, typically in a waiting room or clinical setting before a visit. It does not require scoring by a clinician, though clinical interpretation of results should always involve a qualified professional.",{"question":248,"answer":249},"Can the PHQ-15 diagnose somatic symptom disorder?","No. The PHQ-15 is a severity screener, not a diagnostic instrument. While elevated scores are associated with greater risk of somatic symptom disorder, a diagnosis requires a comprehensive clinical evaluation. Research has examined the PHQ-15 in combination with other tools to improve detection, but no single questionnaire is sufficient for diagnosis on its own.",false,{"heading":252,"scaleLabel":253,"min":254,"max":255,"start":256,"note":257,"source":258,"bands":259},"PHQ-15 Score Interpreter","Total score",0,30,5,"15 items, each scored 0–2 (not bothered at all to bothered a lot); scores summed over the past 4 weeks.","Kroenke K et al. Psychosom Med. 2002;64(2):258-266; Kroenke K et al. Gen Hosp Psychiatry. 2010;32(4):345-359. Severity ranges per original validation study and systematic review. Educational reference only — not a diagnostic tool.",[260,265,270,274],{"min":261,"label":262,"level":263,"note":264},15,"High","error","High somatic symptom burden. Prompts thorough assessment of functional impairment, medical history, and psychological contributors.",{"min":266,"label":267,"level":268,"note":269},10,"Moderate","warning","Moderate somatic symptom burden. May benefit from integrated behavioural health evaluation and closer monitoring.",{"min":256,"label":271,"level":272,"note":273},"Low","info","Low somatic symptom burden. Clinical context should guide whether follow-up is indicated.",{"min":254,"label":275,"level":276,"note":277},"Minimal","success","Minimal somatic symptoms reported.","2026-06-03",{},true,"\u002Fassessments\u002Fphq-15","The PHQ-15 is copyrighted by Kroenke, Spitzer, and Williams. It is in the public domain under the Patient Health Questionnaire (PHQ) license, but reproduction of full item content requires acknowledgment. Cite the original PHQ-15 publication when referencing the tool.","At intake, particularly when patients present with multiple physical complaints\n\nEvery 4–12 weeks, to monitor change during treatment\n\nAs clinically indicated, when somatic symptoms worsen, fluctuate, or are a primary treatment target\n",{"title":5,"description":234},"phq-15","assessments\u002Fphq-15","The PHQ-15 is a brief, validated measure of somatic symptom severity commonly used in primary care, mental health, and integrated behavioural health settings. Developed as part of the broader Patient Health Questionnaire suite, the PHQ-15 quantifies the burden of physical symptoms that may be associated with anxiety, depression, stress, or somatic symptom disorders. \n\nIts scoring system provides a clear indicator of symptom load, helping clinicians identify when somatic concerns may be clinically significant or require further assessment. While not diagnostic, the PHQ-15 is a practical tool for monitoring symptom intensity and guiding conversations around functional impairment, medical workup, and mind–body interactions.\n\nType: Somatic symptom severity scale\n\nPopulation: Adults (18+)\n\nLength: 15 items\n\nFormat: Self-report\n\nCompletion Time: 3–5 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